Individual
PHILIP J HEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7840 VINEWOOD LN N, MAPLE GROVE, MN 55369-7185
(763) 236-0200
(763) 420-5531
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15021
MN
Other
Enumeration date
06/03/2019
Last updated
10/02/2025
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